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DR. JACQUELINE JOANNA DENYSIAK M.D.
NPI 1902337827
Family Medicine in San Diego, CA

Active since March 22, 2017PECOS EnrolledAccepts Medicare Assignment
3969 4TH AVE STE 203, SAN DIEGO, CA 92103(619) 294-6500(619) 294-6505 Get Directions Write a Review

NPPES record last updated: September 26, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 24, 2022, Dec 6, 2021, Mar 22, 2017 (3 updates tracked since 2017).

About Dr. Jacqueline Joanna Denysiak M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JACQUELINE JOANNA DENYSIAK M.D. (NPI 1902337827) is an individual family medicine provider in San Diego, California, licensed in California (A164420) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1902337827
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JACQUELINE JOANNA DENYSIAKCredential: M.D.
Location Address3969 4TH AVE STE 203San Diego, CA 92103-3165
Mailing Address3969 4th Ave Ste 203San Diego, CA 92103-3165 · (161) 988-2462 · Fax (619) 294-6505
Phone(619) 294-6500
Fax(619) 294-6505
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateMarch 22, 2017
Last NPPES UpdateSeptember 26, 20233 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2023
✔ NPI 1902337827 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A164420
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3969 4TH AVE STE 203, San Diego, CA 92103
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jacqueline Joanna Denysiak M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3476963604
PECOS Enrollment IDI20201029001137
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
74 services49 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
27 services23 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
25 services25 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. KATHERINE WAINRIGHT HALL DNP, APRN, FBP-BC
Family Medicine
3969 4TH AVE STE 203
SAN DIEGO, CA 92103
San Diego County (619) 294-6500
MR. ROBERT E BLAKE
Counselor (Addiction (Substance Use Disorder))
3969 4TH AVE STE 203
SAN DIEGO, CA 92103
San Diego County (619) 692-0441

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jacqueline Denysiak's NPI number?

The NPI number for Jacqueline Denysiak is 1902337827. It was assigned to this individual provider in the NPPES registry on March 22, 2017.

Where is Jacqueline Denysiak located?

Jacqueline Denysiak practices at 3969 4th Ave Ste 203, San Diego, CA 92103. The listed phone number is (619) 294-6500.

What is Jacqueline Denysiak's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jacqueline Denysiak enrolled in Medicare?

Yes. Jacqueline Denysiak is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jacqueline Denysiak was last updated on September 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.